Maternal Tobacco Use During Pregnancy and Child Neurocognitive Development

Troy B Puga1,2, Hongying Daisy Dai1, Yingying Wang3

  • 1College of Public Health, University of Nebraska Medical Center, Omaha.

JAMA Network Open
|February 13, 2024
PubMed

Insights

Maternal tobacco use during pregnancy (MTDP) is linked to lasting neurocognitive deficits in children. This study found lower cognitive scores and smaller brain regions in children exposed to MTDP.

Area of Science:

  • Neuroscience
  • Developmental Psychology
  • Public Health

Background:

  • Maternal tobacco use during pregnancy (MTDP) is a global concern.
  • Longitudinal data on MTDP's impact on childhood neurocognition is limited.
  • Understanding these effects is crucial for early intervention and prevention strategies.

Purpose of the Study:

  • To investigate the association between maternal tobacco use during pregnancy (MTDP) and neurocognitive development in children aged 9 to 12 years.
  • To identify specific cognitive functions and brain structures affected by prenatal smoke exposure.
  • To provide longitudinal evidence on the enduring effects of MTDP.

Main Methods:

  • A cohort study design was employed using data from the Adolescent Brain Cognitive Development (ABCD) Study.
  • Children aged 9-10 years at baseline (Wave 1) were followed for 2 years.
  • Neurocognition was assessed using the NIH Toolbox Cognition Battery, and brain structure was analyzed using structural magnetic resonance imaging (sMRI).

Main Results:

  • Children with maternal tobacco use during pregnancy (MTDP) showed significantly lower scores in oral reading recognition, picture sequence memory, and picture vocabulary.
  • These cognitive deficits persisted at the 2-year follow-up.
  • Structural MRI revealed smaller cortical areas and volumes in specific brain regions, including the precentral, inferior parietal, and entorhinal areas, in children with MTDP.

Conclusions:

  • Maternal tobacco use during pregnancy (MTDP) is associated with enduring neurocognitive deficits in children.
  • Prenatal smoke exposure impacts both cognitive performance and brain structure.
  • Further research is recommended to explore the links between MTDP, cognitive skills, and memory.
Abstract

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